Care Home: Oliver Court

Annual service review Name of Service: Oliver Court The quality rating for this care home is: The rating was made on: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: User doesnt belongs to any group Date of this annual service review: 2 2 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Bath Hill Terrace Great Yarmouth Norfolk NR30 2LF 01493332552 01493334380 appletonlodge.olivercourt@virgin.net www.appletonlodgeolivercourt.co.uk Mrs Jane Allison Matheron,Mr John Edward Matheron Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 11 0 In the absence of the manager, a senior member of staff must be on duty during the waking day (between the hours of 8am and 10 pm) 7 days per week. The registered numbers will be increased to 11 allowing one of the flats to be used by a co-habiting couple. Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Oliver Court opened in October 2005 and is situated adjacent to the owners other care home, Appleton Lodge. Oliver Court is a three-storey building comprising of 10 flats situated near to the centre of Great Yarmouth. Oliver Court provides care and accommodation for up to 11 people aged between 18 and 65 who have mental health problems. The home provides residents with individual flats, which include a small kitchen with washing machine, fridge, freezer and cooker. The flats also have their own bathroom, separate bedroom and living room. Two flats are situated on the ground Annual Service Review Page 2 of 7 floor; the others are on the first and second floors. The weekly fees vary according to individual care and support requirements and do not include hairdressing, chiropody, newspapers or personal toiletries. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: (1) The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. (2) Information we have about how the service has managed any complaints. (3) What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. (4) The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. (5) Relevant information from other organisations. (6) What other people have told us about the service. What has this told us about the service? We received the Annual Quality Assurance Assessment (AQAA) before this service review, which gave us good information about how Oliver Court has continued to improve since the last key inspection. The Commission had not received any completed questionnaires at the time of writing this Annual Service Review. However, the information provided in the AQAA has told us the following: A new website has been developed, which provides information, photographs and links to the CSCI/CQC inspection reports. A new first-day procedure has been implemented, which includes electrical Portable Appliance Testing (PAT) of all personal electrical equipment to ensure that the safety of the people living at Oliver Court remains paramount. During the last twelve months, a few people have moved from residential care into Oliver Court, although for two people this did not prove successful, despite increased daily input from staff. The management and staff team subsequently worked together with the relevant care teams to develop a strategy and establish a more appropriate setting to meet the two peoples individual needs. This was not viewed as a failure, as the two people were given the opportunity to progress and a safety net remained available by way of residential care, to avoid the possibility of them deteriorating to a point that could have required hospital treatment. Annual Service Review Page 4 of 7 The Homes policies and procedures continue to be audited annually and they are also now audited by representatives from the residents forum. The staff and management of Oliver Court plan to review the structure of the care plans over the next twelve months, to ensure they continue to meet the needs of the people living at the Home. It was confirmed that the staff and management will continue to listen to each individual and reflect their needs and choices accordingly. The staff and management have been communicating with the Well Being clinic at the local hospital, in order to facilitate a service that offers individual support and advice with maintaining a healthy lifestyle and a balanced diet. During the past year knowledge and experience has been gained in respect of working with new legislation such as Community Treatment Orders, and the Deprivation of Liberty safeguards (DOLS). It was noted that all the people living at Oliver Court have very different lifestyles and are provided with support in any area, as required. A new Boots medication update course has been implemented for all existing staff, to ensure that staff training in this area is current and reliable. New legislation such as the Mental Capacity Act 2005 has also been incorporated into the care plans to ensure that all staff are aware of how care must reflect the capacity of the individuals living at the Home to make informed decisions. Staff have received training in the Deprivation of Liberty safeguards, and feedback has confirmed that no aspect of the care provided at Oliver Court currently infringes on anyones liberty. The staff and management at Oliver Court say they are confident that their auditing of medication systems is reliable and safe. It is anticipated that, in the next year, the system can also be extended to people who are self-medicating. This would mean that people will have the opportunity, every six months, to formally self-assess and request reviews if they have any issues or doubts as to the effect of their medication. In response to some residents requests, the WI-FI wireless internet signal has been upgraded, which has enabled all the rooms in Oliver Court to have access to the Internet. A new AppleMac computer has also been purchased and installed in the communal room. The area in front of Oliver Court has been developed into a new parking area to give access not only to staff but also to visiting professionals and families. Plans for the next twelve months include redecorating the communal areas of Oliver Court, including the halls and stairways. New replacement carpets will also be purchased and fitted in all communal areas. The communal room will also be provided with new items of furniture and storage facilities. During the last twelve months, staff have completed various training programmes including The Mental Capacity Act 2005, The Deprivation of Liberty Safeguards and Annual Service Review Page 5 of 7 Understanding Human Rights. Oliver Court confirms that it has a consistent and dedicated staff team and incremental pay reviews have been completed, despite a difficult financial climate. Holiday allowances have been increased on a time-served basis, and enhanced rewards are given for working on Bank Holidays. A qualified nutritionist and dietician are currently working together with the people at Oliver Court to advise on best practices in encouraging healthy eating and diet. It was confirmed that they will formulate a three-week, seasonally changing, menu and will follow this up by coming to the Home and giving a talk to all staff and residents. It was noted from the AQAA that all policies and procedures were last updated/reviewed in September 2009. Meanwhile, it was confirmed that there have been no formal complaints or safeguarding referrals in the past year, although two informal complaints were received, both of which were dealt with and resolved appropriately. The Commissions opinion, following this Annual Service Review, is that Oliver Court continues to provide Excellent outcomes for the people living there. What are we going to do as a result of this annual service review? There will be no changes to our inspection schedule following this review and a key inspection will be carried out by 4th February 2011. However, the service can be inspected at any time if the Commission have any concerns about the quality of the service or safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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